https://scholars.lib.ntu.edu.tw/handle/123456789/502742
標題: | Quality of life of women after a first diagnosis of breast cancer using a self-management support mHealth app in Taiwan: Randomized controlled trial | 作者: | Hou I.-C. Lin H.-Y. Shen S.-H. KING-JEN CHANG HAO-CHIH TAI Tsai A.-J. Dykes P.C. |
關鍵字: | Breast cancer; MHealth app; Quality of life; Self-management | 公開日期: | 2020 | 出版社: | JMIR Publications | 卷: | 8 | 期: | 3 | 起(迄)頁: | e17084 | 來源出版物: | JMIR mHealth and uHealth | 摘要: | Background: There are over 2 million newly diagnosed patients with breast cancer worldwide with more than 10,000 cases in Taiwan each year. During 2017-2018, the National Yang-Ming University, the Taiwan University of Science and Technology, and the Taiwan Breast Cancer Prevention Foundation collaborated to develop a breast cancer self-management support (BCSMS) mHealth app for Taiwanese women with breast cancer. Objective: The aim of this study was to investigate the quality of life (QoL) of women with breast cancer in Taiwan after using the BCSMS app. Methods: After receiving a first diagnosis of breast cancer, women with stage 0 to III breast cancer, who were recruited from social networking sites or referred by their oncologists or oncology case managers, were randomized 1:1 into intervention and control groups. Intervention group subjects used the BCSMS app and the control group subjects received usual care. Two questionnaires-the European Organization for Research and Treatment of Cancer (EORTC) Quality-of-Life Questionnaire Core 30 (QLQ-C30) and the EORTC Breast Cancer-Specific Quality-of-Life Questionnaire (QLQ-BR23)-were distributed to subjects in both arms. Paper-based questionnaires were used at baseline; paper-based or Web-based questionnaires were used at 1.5-month and 3-month follow-up evaluations. All evaluations were self-assessed and anonymous, and participants were blinded to their allocation groups. Descriptive analysis, the Pearson chi-square test, analysis of variance, and the generalized estimating equation were used to analyze the data. Missing values, with and without multi-imputation techniques, were used for sensitivity analysis. Results: A total of 112 women were enrolled and randomly allocated to either the experimental group (n=53) or control group (n=59). The follow-up completion rate was 89.3% (100/112). The demographic data showed homogeneity between the two groups in age (range 50-64 years), breast cancer stage (stage II), marital status (married), working status (employed), and treatment status (receiving treatments). The mean total QoL summary scores from the QLQ-C30 (83.45 vs 82.23, P=.03) and the QLQ-BR23 (65.53 vs 63.13, P=.04) were significantly higher among the experimental group versus the control group, respectively, at 3 months. Conclusions: This research provides support for using a mobile health care app to promote the QoL among women in Taiwan after a first diagnosis of breast cancer. The BCSMS app could be used to support disease self-management, and further evaluation of whether QoL is sustained is warranted. ? I-Ching Hou, Hsin-Yi Lin, Shan-Hsiang Shen, King-Jen Chang, Hao-Chih Tai, Ay-Jen Tsai, Patricia C Dykes. Originally published in JMIR mHealth and uHealth (http://mhealth.jmir.org), 04.03.2020. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR mHealth and uHealth, is properly cited. The complete bibliographic information, a link to the original publication on http://mhealth.jmir.org/, as well as this copyright and license information must be included. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85081358074&doi=10.2196%2f17084&partnerID=40&md5=7e81f8ab8c4f4cd50ac29b70acf2f176 https://scholars.lib.ntu.edu.tw/handle/123456789/502742 |
ISSN: | 2291-5222 | DOI: | 10.2196/17084 | SDG/關鍵字: | adult; breast tumor; controlled study; epidemiology; female; human; mastectomy; middle aged; mobile application; quality of life; randomized controlled trial; self care; Taiwan; telemedicine; young adult; Adult; Breast Neoplasms; Female; Humans; Mastectomy; Middle Aged; Mobile Applications; Quality of Life; Self-Management; Taiwan; Telemedicine; Young Adult |
顯示於: | 醫學系 |
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